Evaluation Center PC

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

License

L1191059 Issued in MI

Legal business name

EVALUATION CENTER PC

Practice address

5755 W Maple Rd
Suite # 119
West Bloomfield, MI 48322-4415

Phone

(248) 932-8400

Fax

(248) 932-0226

NPI assigned

May 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Herbert Gilbert, PH.D.

Title

President

Phone

(248) 932-8400

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211587200000",
    "number": "1518124692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 W MAPLE RD",
            "address_2": "SUITE # 119",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224415",
            "telephone_number": "248-932-8400",
            "fax_number": "248-932-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 W MAPLE RD",
            "address_2": "SUITE # 119",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224415",
            "telephone_number": "248-932-8400",
            "fax_number": "248-932-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVALUATION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-17",
        "last_updated": "2008-05-24",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-932-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": "MI",
            "license": "L1191059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychoanalysis Psychologist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Psychoanalysis Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.